Diagnosis

You will be asked about your symptoms and medical history. A physical exam will be done. It may include a digital rectal exam of the rectum with the doctor's gloved, lubricated finger inserted into your rectum.

Taking Laxatives, Stool Softeners, or Glycerin Suppositories

Regularly using laxatives or enemas can be habit forming. Your bowels can become used to these products and require them to produce a stool. Stool softeners, though, are not habit-forming. Ask your doctor about how often and for how long to use these products.

Examples of medications include:

Polyethylene glycol 3350—a type of laxative

Psyllium—a bulk laxative

Docusate—a stool softener

Lactulose—a type of laxative

Lubiprostone—a medication that increases fluid in stool

Botulism injections—may be used to treat certain types of constipation

Retraining Your Bowels

Set aside the same time each day to move your bowels. Typically, this works best first thing in the morning. Sit on the toilet for 15-20 minutes. Over time, your body will learn to have regular bowel movements at the same time each day.

Using Biofeedback

Biofeedback
may be effective in certain conditions. By working with a therapist, you learn how to control certain muscles that can help you to move your bowels.

Treating Underlying Conditions

Work with your doctor to treat other conditions that may be causing your constipation.

Changing Medications

If you are taking medication that causes constipation, talk to your doctor to find out if you can take a different medication.

If you are taking opioids to relieve pain, you may have constipation. A medication called
methylnaltrexone may help to reduce this side effect.

Having Surgery

If you have severe, chronic constipation, your doctor may recommend surgery.

If you are diagnosed with constipation, follow your doctor's
instructions.

Prevention

To reduce your chance of getting constipation:

Eat a healthy, balanced diet that is high in fiber.

Exercise regularly.

Drink plenty of water a day.

In an effort to train your bowels, schedule a time daily to sit on the toilet just after a meal.

Do not rush yourself when using the bathroom.

If you feel the urge to move your bowels, do not ignore this feeling. Go to the bathroom right away.

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